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Kimbrian Hicks
NPI 1801514831 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1403 S Lincoln Ave Ste C
O Fallon, IL 62269 - Phone
- (618) 795-5104
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois